Who Qualifies as a Candidate Or Not for Penile Prosthesis?
The answers to the questions on who are not candidates for penile prosthesis and who are candidates for penile prosthesis are given with details. Erectile dysfunction can be defined as the inability of the person to create the stiffness to initiate or maintain sexual activity. Penile prosthesis (penile implant) treatment may be applied if deemed appropriate by urology physicians if various methods, especially drug therapy, are tried to control this situation, but there is no result. You can find details about who are suitable candidates for penile prosthesis, which are generally of two types, in the continuation of the article.
Who is a candidate for a one-piece malleable penile prosthesis?
The one-piece Malleable penile prosthesis consists of a pair of highly flexible cylinders. These cylinders are placed in the place of the cavernous tissue that usually fills with blood and allows the penis to grow and harden. One-piece malleable penile prostheses provide a permanent state of hardness to the person after the operation. For some people, this constant state of stiffness can be uncomfortable. Still, thanks to the developing prosthetic technology today, individuals can give their malleable prostheses the position they want according to their situation. One-piece malleable rods stretching up to 135 degrees for sexual activity, urination, or concealment with clothes allow the person to position their penis freely.
Many factors can be influential in choosing a one-piece malleable penile prosthesis. The patient’s expectations, the surgeon’s opinion, the other underlying health conditions, the person’s skill status, and mental functions are among the factors that affect the selection of a one-piece malleable prosthesis. Malleable sticks require less skill and can be performed under local anesthesia.
Who is not a candidate for a one-piece malleable penile prosthesis?
The one-piece malleable penile prosthesis is a penile implant in which the patient’s anatomical features are not taken into account much because it consists of only a double cylinder with high flexibility. Available for malleable prostheses, six different size options with 9-10-11-12-13-14 mm diameters allow choosing the most suitable permanent solution penile prosthesis for the individual.
It is not recommended to perform a single-piece malleable penile prosthesis if the individual has a recurrent (recurrent) urinary tract infection, which involves the risk of infection development at the operation site.
Who is a candidate for a Three Piece Inflatable Penile Prosthesis?
The three-piece inflatable penile prosthesis is a penile prosthesis consisting of a pump in the testicles, a reservoir in the abdomen, and a pair of inflatable cylinders placed in the penis. These prostheses, which have a more complex use than malleable prostheses, are especially preferred in individuals whose fine motor functions are preserved and whose cognitive functions have not changed.
Who is not a candidate for a Three Piece Inflatable Penile Prosthesis?
Three-piece inflatable penile prostheses are unsuitable for people with hand-to-body coordination problems, advanced Parkinson’s disease, or those who will not use an activator pump due to their body characteristics. In individuals with both erectile dysfunction and Peyronie’s disease, penile prosthesis treatment can be applied if the urologist deems it appropriate. Due to the change in the anatomical features of the penis in these people, specially produced narrow-diameter prostheses are generally preferred. Another patient group in which three-piece inflatable penile prostheses cannot be applied is individuals who have undergone radiotherapy (radiation therapy) to the abdominal region for various reasons. Penile prosthesis treatment can be applied only in some patients by evaluating the changes in this region where urology physicians will place the reservoir.
Penile prosthesis treatment is an effective surgical method used for erectile dysfunction within the knowledge and consent of patients with realistic expectations. You can contact us via the “Contact us form” on the rigicon.com site to get detailed information about who can have this operation and the factors that affect the selection of a prosthesis.